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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by fires on June 5, 2005, at 17:26:06
I might have BP II. If I'm going downhill on 300 mg of Buproprion, yet responded to Effexor in the past -- should I take the Effexor again -- even if it may make me "hypomanic" again?
I say yes, my current pdoc may say yes -- because she's not convinced about the BP II.
Any thoughts before I call my pdoc tomorrow?
Posted by Maxime on June 5, 2005, at 19:27:34
In reply to BP II and dep?, posted by fires on June 5, 2005, at 17:26:06
Effexor makes a lot of people hypomanic, even those who are not BP2. What makes you think you are BP2? And can you take the Effexor and add a mood stabiliser to it?
MAxime
> I might have BP II. If I'm going downhill on 300 mg of Buproprion, yet responded to Effexor in the past -- should I take the Effexor again -- even if it may make me "hypomanic" again?
>
> I say yes, my current pdoc may say yes -- because she's not convinced about the BP II.
>
> Any thoughts before I call my pdoc tomorrow?
>
>
>
Posted by fires on June 5, 2005, at 20:59:45
In reply to Re: BP II and dep? » fires, posted by Maxime on June 5, 2005, at 19:27:34
> Effexor makes a lot of people hypomanic, even those who are not BP2. What makes you think you are BP2? And can you take the Effexor and add a mood stabiliser to it?
> MAximeMy neurologist thought so when I described some of the typical symptoms. I tried Lamictal with Effexor for increased antiD activity, but it just made me tired.
I'm worried about ending up severely depressed again. Effexor worked about 17 months ago, so I think I might want to start it again, in case buproprion isn't providing "protection".
If you start, or switch meds when you aren't severely depressed, it can be hard to judge just how well the med is working. That's what happened to me while on Remeron --- I was so-so -- then suddenly got much worse. (I'm one of those who believes that I need to be on an antiD for the rest of my life -- unless there's some medical breakthroughs).
Posted by Maxime on June 5, 2005, at 21:37:17
In reply to Re: BP II and dep? » Maxime, posted by fires on June 5, 2005, at 20:59:45
Hi again. Well many, if not most, mood stabilisers do make you tired to a certain degree. You might want to try Trileptal. I'm just worried if you go back on Effexor your hypomanic episode will be more frequent without the aid of a mood stabiliser. So maybe you could give that a go? I take Trileptal and it was only sedating the first week or so and only slightly.
Maxime
> > Effexor makes a lot of people hypomanic, even those who are not BP2. What makes you think you are BP2? And can you take the Effexor and add a mood stabiliser to it?
> > MAxime
>
> My neurologist thought so when I described some of the typical symptoms. I tried Lamictal with Effexor for increased antiD activity, but it just made me tired.
>
> I'm worried about ending up severely depressed again. Effexor worked about 17 months ago, so I think I might want to start it again, in case buproprion isn't providing "protection".
>
> If you start, or switch meds when you aren't severely depressed, it can be hard to judge just how well the med is working. That's what happened to me while on Remeron --- I was so-so -- then suddenly got much worse. (I'm one of those who believes that I need to be on an antiD for the rest of my life -- unless there's some medical breakthroughs).
>
>
>
Posted by fires on June 5, 2005, at 22:10:47
In reply to Re: BP II and dep? » fires, posted by Maxime on June 5, 2005, at 21:37:17
> Hi again. Well many, if not most, mood stabilisers do make you tired to a certain degree. You might want to try Trileptal. I'm just worried if you go back on Effexor your hypomanic episode will be more frequent without the aid of a mood stabiliser. So maybe you could give that a go? I take Trileptal and it was only sedating the first week or so and only slightly.
>
> MaximeI'm getting a second opinion about the BP II, from a highly recommended pdoc in about one month. I tend to think that the hypomania was medication induced.
I just did some reading about Trileptal. It does sound like a good med. relative to the other mood stabilizers. Do you have any idea about what % of patients respond to it? Also, does it take about 4 weeks to see results?
Thanks
Posted by MM on June 5, 2005, at 22:45:06
In reply to Re: BP II and dep? » Maxime, posted by fires on June 5, 2005, at 22:10:47
I don't mean to ask an offensive or inappropriate question here, but I can't seem to find any way to get a reccommendation for a Pdoc, so, what state are you in (if you are in America)? Or I could just tell you that I'm in Colorado, so if you're not, just disregard this? :D
Posted by fires on June 5, 2005, at 22:54:09
In reply to Re: BP II and dep? » fires, posted by MM on June 5, 2005, at 22:45:06
> I don't mean to ask an offensive or inappropriate question here, but I can't seem to find any way to get a reccommendation for a Pdoc, so, what state are you in (if you are in America)? Or I could just tell you that I'm in Colorado, so if you're not, just disregard this? :D
No problem. California. My neurologist recommended him. I also got some other recommendations. I did have a problem getting a recommendation to a pdoc who takes my insurance!
Posted by Maxime on June 5, 2005, at 22:55:44
In reply to Re: BP II and dep? » Maxime, posted by fires on June 5, 2005, at 22:10:47
> > Hi again. Well many, if not most, mood stabilisers do make you tired to a certain degree. You might want to try Trileptal. I'm just worried if you go back on Effexor your hypomanic episode will be more frequent without the aid of a mood stabiliser. So maybe you could give that a go? I take Trileptal and it was only sedating the first week or so and only slightly.
> >
> > Maxime
>
> I'm getting a second opinion about the BP II, from a highly recommended pdoc in about one month. I tend to think that the hypomania was medication induced.
>
> I just did some reading about Trileptal. It does sound like a good med. relative to the other mood stabilizers. Do you have any idea about what % of patients respond to it? Also, does it take about 4 weeks to see results?
>
> ThanksI don't know what percentage of people respond to it. But I do know that it has one of lowest side effects profile of any of the stabilisers. I noticed a difference in 2 weeks.
Maxime
Posted by Maxime on June 6, 2005, at 12:12:07
In reply to BP II and dep?, posted by fires on June 5, 2005, at 17:26:06
Have you tried Cymbalta, it's also an SSNRI.
MAxime
> I might have BP II. If I'm going downhill on 300 mg of Buproprion, yet responded to Effexor in the past -- should I take the Effexor again -- even if it may make me "hypomanic" again?
>
> I say yes, my current pdoc may say yes -- because she's not convinced about the BP II.
>
> Any thoughts before I call my pdoc tomorrow?
>
>
>
This is the end of the thread.
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